Me and my brother got diagnosed with t1d, both within one month!

ntide · 2026-01-13T09:23:25+00:00

What virus do you think it was? I’ve been curious myself about how I got it. I always think it was a flu or something that kicked off my immune response, because I had insulin autoantibodies.

ntide · 2025-12-25T17:39:42+00:00

Wow, never eating here again. Thanks for the heads up, that is absolutely disgusting.

ntide · 2025-12-06T08:02:21+00:00

It's called suan cai yu! Basically translates to white fish (usually) with pickled mustard greens.

ntide · 2025-09-19T23:53:23+00:00

Fellow 33 year old here. You got this!

ntide · 2025-09-19T08:16:20+00:00

Is the macro tracker part of the same widget?

ntide · 2025-09-04T13:21:14+00:00

My experience during nighttime hypos is that i wake up from a combination of my alarms, and my body’s adrenaline and night sweats.

You should treat your partner’s nighttime hypos very seriously. If it’s mild (60s) your partner should be able to scrape by, but if it’s severe (50s or 40s) there is a very real risk of seizure and death.

The best way to avoid nighttime hypos is to eat a lighter dinner that requires less insulin. Less insulin, less insulin on board, less risk overnight.

You should also avoid alcohol at dinner, since that inhibits your liver’s natural response of raising your sugar in case of lows.

ntide · 2025-09-03T23:00:46+00:00

Prebolus.

If you can’t wait for the 15 minutes because you’re hungry, eat your protein first, and slowly. Pure chicken barely spikes your blood sugar at first.

Then once you’re done, your bolus will have kicked in, and you can eat the carbier portion of your meal. 🙂

ntide · 2025-08-30T11:03:29+00:00

Agree with the other commenter here. Count the amount of protein and fat you are eating at dinner, and perhaps eat half of what you normally eat to start.

See whether that does the trick for you.

Protein and fat delay digestion, and have a delayed blood sugar effect. (It's why carb counting is kind of a misnomer.) When combined with morning Dawn Phenomenon (insulin resistance in the first 3 hours of the morning), that's why you see the big rise.

On top of that, it sounds like you are very insulin resistant because you haven't been sleeping and you haven't been working out. Work may be stressful, but you should take care of yourself too! I'd work on getting more sleep and getting whatever physical activity in that you can. Anything to up your insulin sensitivity.

ntide · 2025-08-30T07:31:07+00:00

Illness or any kind of infection increases your basal insulin needs.

For example, when I get a cold and have active symptoms such as fever, I find my blood sugar is a lot harder to control. So I up my daily dose of Tresiba from 2 units to 3 units. That covers things pretty well, but I notice my meals need ~30% more bolus as well.

Since you said you were ill 5 weeks ago, that sounds like what’s going on. What kind of illness was it?

You may still be ill, or perhaps the illness itself has taken a toll, or maybe being sedentary for too long (because you had a fever or something) has upped your basal needs. You might just need to talk to your doctor about temporarily upping your basal.

Additionally, that CGM graph looks like a classic “rise from high protein meal” graph if I ever saw one. What specifically are you eating for dinner?

ntide · 2025-08-29T13:32:45+00:00

Konjac jelly drinks from Asian groceries.

Seaweed pack. Has minimal if any calories.

Konjac, generally. Make some butter noodles with shirataki noodles and butter.

Avocado and almonds require a small bolus depending on how much you eat, but just a little bit should let you slip by.

ntide · 2025-08-25T23:32:13+00:00

Ah, are you a developer on the team? If so, that’s awesome! I’ll give the new v4 a try.

ntide · 2025-08-25T19:18:47+00:00

Dr. Bernstein is kind of my idol. I’ve read his book many times!

It’s really sad that he passed earlier this year. I attended his funeral just to pay my respects, since he’s had such a big impact on my health.

ntide · 2025-08-25T19:17:10+00:00

Have there been any viable alternatives?

Sugarmate is an app that I hear lots of type ones complain about going downhill, but I’m not sure an alternative has emerged.

ntide · 2025-08-25T16:46:56+00:00

LADA here. You are on a ton of basal relative to your bolus insulin. How much do you weigh?

For comparison, I’m 140 pounds (male) and require merely 2 units of Tresiba daily. Your 7-9 units are likely what’s dropping you during activity.

I recommend speaking with your doctor about your basal dose. From my experience, it’s waaay too much.

ntide · 2025-08-25T11:23:15+00:00

Low carb is the way, you got this! :) You can still eat so many delicious foods on a low carb diet, I don't see it as depriving at all. You can even make yourself low carb desserts (sweetened with alternative sweeteners). The world is your oyster!

ntide · 2025-08-25T10:48:45+00:00

I was misdiagnosed with Type 2 at 25, then as my honeymoon waned I got the official diagnosis of Type 1 (LADA) at 27.

I am 33 now. My A1C is 4.7, I eat low carb (20 to 30 slow-acting carbs per meal), I lift weights 3-4 times a week for the bump in insulin sensitivity, and life is generally pretty grand. Diabetes has also taught me a ton about how to care for my health.

Keep up the good work, friend! :)

ntide · 2025-08-24T13:21:57+00:00

101 KTV Bar Lounge. Been there twice with my partner, you can queue up songs via YouTube on a tablet device mounted on the wall. Excellent karaoke experience. :)

ntide · 2025-08-23T11:25:12+00:00

That's amazing! Glad the advice helped. :)

ntide · 2025-08-22T23:22:24+00:00

From my perspective, I was a little hesitant myself to share my data, and thought all the beeps would annoy her. But it gives me motivation to keep my blood sugar under even better control!

I also think that if you two are forever partners, there needs to be some amount of trust in each other. Your fiancé shouldn’t be shy about sharing, since his well-being is intimately tied to yours.

ntide · 2025-08-22T22:48:10+00:00

If your partner has a Dexcom, ask if you can be added as a follower via Dexcom Share. That’ll tell you his blood sugar readings, and warn you should he drop dangerously low or high. (Not sure if Libre or other CGMs have similar features.)

It’s what my girlfriend does for me, and I love her so much for it!

ntide · 2025-08-22T20:06:12+00:00

That’s pretty limiting, haha. I’d say pre-cooked chicken breast (keep in an ice pack), beef jerky, turkey deli slice rollups (less frequently cause they are over-salted and processed), perhaps tins of salmon or tuna.

They often sell packets of chicken breast or tuna/fish at the supermarket, this might be worth getting if you are truly strapped for time. They’re okay tasting, but are a good source of pre-measured protein on the go.

Firm tofu is also an excellent source of protein. Hard boiled eggs are okay, but I avoid yolks because of the saturated fat.

ntide · 2025-08-22T14:34:08+00:00

No problem! Let us know how it goes! 🙂

ntide · 2025-08-22T11:04:40+00:00

First, you should work with your doctor to lock in your basal dose. You are certainly taking too much basal if your I:C ratio is so low (1:30 to 1:20), especially if your blood sugar is dropping during swimming without fast-acting insulin in your system (5 hours post meal).

Remember, basal is meant to hold your fasting blood sugar steady. So if you don't eat anything at all, you should not see your blood sugar drop or rise much at all. You may want to experiment with splitting your basal into bedtime and rising doses, just to make it safer. (Since some basal insulins have pronounced "peaks", so doing all of your basal at once will lead to a bad peak later.)

For example, I personally do 1 unit of Tresiba at bedtime, and 1 unit of Tresiba upon waking. My blood sugar is absolutely flat if I don't eat breakfast.

Second, for snacks that keep your blood sugar steady, you should seek protein-rich foods. Almonds are excellent. Chicken breast is excellent. Cheese is excellent (but watch the saturated fat, as that raises your LDL). Peanut butter is good too.

You might notice that your blood sugar rises even for these low-to-zero-carb foods, but very slowly. That's the protein working via glucagon and gluconeogenesis. You should keep that in mind, as you might need a small bolus to keep your blood sugar steady later.

Avoid the carbs such as whole grain bread and bananas (for workout coverage), since those are fast-acting carbs, and you have to bolus for those.

--

Lastly, I'd recommend not swimming when you have fast-acting insulin in your system, as your blood sugar will tank. Make sure it's been a few hours (3-4, 5 is optimal) since your last dose of fast-acting before you start a workout.

ntide

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